Individual provider Active NPI

Alyxandrah Dawn White

  • Marriage & Family Therapist
  • Tyler, TX
National Provider Identifier
1962931394
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204697 Issued in TX
Practice address
3800 Paluxy Dr Ste 240
Tyler, TX 75703-1667
Phone
(903) 283-8729
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3131 KS
Marriage & Family Therapist 106H00000X 12240 NE
Marriage & Family Therapist 106H00000X 204697 TX Primary

Addresses

Primary practice location

3800 Paluxy Dr Ste 240
Tyler, TX 75703-1667

Mailing address

3800 Paluxy Dr Ste 240
Tyler, TX 75703-1667
Phone (903) 283-8729

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL thebridgetherapy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 5, 2026 through Feb 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3131KSMDProfessional Counselor
12240NEMDMarriage & Family Therapist
204697TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy G. Mayer PastSince Sep 4, 2022 Accepting new patients
Bridge Therapeutic Services PLLC PastSince Sep 4, 2022 Accepting new patients
Courser Lapo Inc Marriage & Family Therapist PastSince Jul 1, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1962931394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 PALUXY DR STE 240",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031667",
            "telephone_number": "903-283-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 PALUXY DR STE 240",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031667",
            "telephone_number": "903-283-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ALYXANDRAH",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "3131",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NE",
            "license": "12240",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thebridgetherapy.com",
            "affiliation": "N",
            "address_1": "3800 Paluxy Dr Ste 240",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757031667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.